Prime Healing Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PRIME HEALING INC

Practice address

2704 14TH Ave S
Minneapolis, MN 55407-1127

Phone

(612) 426-9982

NPI assigned

Nov 15, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ayub Ahmed Ali

Title

Owner

Phone

(612) 426-9982

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1831913847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2704 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071127",
            "telephone_number": "612-426-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2704 14TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554071127",
            "telephone_number": "612-426-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "AYUB",
        "authorized_official_middle_name": "AHMED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-426-9982"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shane Prijatel-Spare
• Primary Behavioral Health Clinic, Inc.
• Primary Initiative Care LLC
• Prime Autism Center Inc
• Prime Growth Behavior Services Inc.
• Prime Health Professional Corporation
• Prime Health Services Inc
• Prime Health Wellness LLC
• Prime Medical Centers LLC
• Prime Meridian, Inc.

• Clinic/Center in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.